Dr KELLY J BUSTOS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2000 from University Of California, Ucla School Of Medicine.
RODOLFO R. BATARSE, MD, MEDICAL CORPORATION
71-511 HWY 111
SUITE H
RANCHO MIRAGE
CA
922704465
Tel: 7607732200
| Npi | 1467603159 |
| Pac Id | 0648463273 |
| Professional Enrollment Id | I20101014001488 |
| Last Name | BUSTOS |
| First Name | KELLY |
| Middle Name | J |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | RODOLFO R. BATARSE, MD, MEDICAL CORPORATION |
| Group Practice Pac Id | 3173775657 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 71-511 HWY 111 |
| Line 2 Street Address | SUITE H |
| Marker Of Address Line 2 Suppression | |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 922704465 |
| Phone Number | 7607732200 |
| Hospital Affiliation Ccn 1 | 050573 |
| Hospital Affiliation Lbn 1 | EISENHOWER MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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